This picture is from an alternate reality where everyone has some sort of disability. A group of developers in that world subsequently teamed up to produce a visual novel about a young man who discovers that he has absolutely no disabilities and is sent to a school for non-disabled students. The resulting visual novel, "Shoujo", proves to be rather popular in that world

The only question is how this image, which is clearly from some stage in that game's development, managed to cross over into our universe...

And yet, Kenji still sort of looks like Harry Potter. I guess some things are just constant.
(Also, I like to think that Hanako is smiling for the picture her parents are taking of her, and Emi is having a chat with her dad.)